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    Summary
    EudraCT Number:2021-001009-56
    Sponsor's Protocol Code Number:MK-7684A-005
    National Competent Authority:Italy - Italian Medicines Agency
    Clinical Trial Type:EEA CTA
    Trial Status:Ongoing
    Date on which this record was first entered in the EudraCT database:2021-07-27
    Trial results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedItaly - Italian Medicines Agency
    A.2EudraCT number2021-001009-56
    A.3Full title of the trial
    A Multicenter, Open-label, Phase 2 Basket Study of MK-7684A, a Coformation of Vibostolimab (MK-7684) with Pembrolizumab (MK-3475), With or Without Other Anticancer Therapies in Participants with Selected Solid Tumors
    Studio basket, multicentrico, in aperto, di fase 2 su MK-7684A, una co-formulazione di vibostolimab (MK-7684) e pembrolizumab (MK-3475), con o senza altre terapie antitumorali in soggetti con determinati tumori solidi
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    MK-7684A With or Without Other Anticancer Therapies in Participants with Selected Solid Tumors
    MK-7684A con o senza altre terapie antitumorali in soggetti con determinati tumori solidi
    A.3.2Name or abbreviated title of the trial where available
    MK-7684A With or Without Other Anticancer Therapies in Participants with Selected Solid Tumors
    MK-7684A con o senza altre terapie antitumorali in partecipanti con determinati tumori solidi
    A.4.1Sponsor's protocol code numberMK-7684A-005
    A.5.4Other Identifiers
    Name:INDNumber:155349
    A.7Trial is part of a Paediatric Investigation Plan No
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorMERCK SHARP & DOHME CORP. UNA SUSSIDIARIA DI MERCK & CO. INC.
    B.1.3.4CountryUnited States
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportMerck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc.
    B.4.2CountryUnited States
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationMSD Italia S.r.l.
    B.5.2Functional name of contact pointDivisione Ricerca Clinica
    B.5.3 Address:
    B.5.3.1Street AddressVia Vitorchiano 151
    B.5.3.2Town/ cityRoma (RM)
    B.5.3.3Post code00189
    B.5.3.4CountryItaly
    B.5.4Telephone number00390636191371
    B.5.5Fax number00390636380371
    B.5.6E-mailgcto.italy@merck.co
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameLenvatinib
    D.3.2Product code [E7080]
    D.3.4Pharmaceutical form Capsule, hard
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNLENVATINIB MESILATE
    D.3.9.1CAS number 857890-39-2
    D.3.9.2Current sponsor codeMK-7902
    D.3.9.3Other descriptive nameLENVATINIB MESILATE
    D.3.9.4EV Substance CodeSUB72971
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number10
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 2
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameMK-7684A
    D.3.2Product code [-]
    D.3.4Pharmaceutical form Solution for injection/infusion
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntravenous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNVibostolimab
    D.3.9.1CAS number 2231305-30-7
    D.3.9.2Current sponsor codeMK-7684
    D.3.9.4EV Substance CodeSUB203865
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number10
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNPembrolizumab
    D.3.9.1CAS number 1374853-91-4
    D.3.9.2Current sponsor codeMK-3475
    D.3.9.4EV Substance CodeSUB167136
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number10
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) Yes
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product Yes
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 3
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name KEYTRUDA (pembrolizumab, MK-3475)
    D.2.1.1.2Name of the Marketing Authorisation holderMerck Sharp & Dohme B.V. - A.I.C. EU/1/15/1024/002
    D.2.1.2Country which granted the Marketing AuthorisationEuropean Union
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product name-
    D.3.2Product code [-]
    D.3.4Pharmaceutical form Solution for injection/infusion
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntravenous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNPembrolizumab
    D.3.9.1CAS number 1374853-91-4
    D.3.9.2Current sponsor codeMK-3475
    D.3.9.4EV Substance CodeSUB167136
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number25
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) Yes
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product Yes
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 4
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameLenvatinib
    D.3.2Product code [E7080]
    D.3.4Pharmaceutical form Capsule, hard
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNLENVATINIB MESILATE
    D.3.9.1CAS number 857890-39-2
    D.3.9.2Current sponsor codeMK-7902
    D.3.9.3Other descriptive nameLENVATINIB MESILATE
    D.3.9.4EV Substance CodeSUB72971
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number4
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 5
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.2Country which granted the Marketing AuthorisationItaly
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product name5-Fluorouracile
    D.3.2Product code [-]
    D.3.4Pharmaceutical form Solution for injection/infusion
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntravenous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNFLUOROURACILE
    D.3.9.1CAS number 51-21-8
    D.3.9.2Current sponsor code-
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number50
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 6
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.2Country which granted the Marketing AuthorisationItaly
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameCisplatino
    D.3.2Product code [-]
    D.3.4Pharmaceutical form Concentrate for solution for injection/infusion
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntravenous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNCISPLATINO
    D.3.9.1CAS number 15663-27-1
    D.3.9.2Current sponsor code-
    D.3.9.4EV Substance CodeSUB06614MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number1
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 7
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.2Country which granted the Marketing AuthorisationItaly
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product namePaclitaxel
    D.3.2Product code [-]
    D.3.4Pharmaceutical form Concentrate for solution for injection/infusion
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntravenous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNPACLITAXEL
    D.3.9.1CAS number 33069-62-4
    D.3.9.2Current sponsor code-
    D.3.9.4EV Substance CodeSUB09583MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number6
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Advanced solid tumors
    Tumori solidi avanzati
    E.1.1.1Medical condition in easily understood language
    Cancer of the cervix, Uterine (endometrial), Head and Neck, Bile duct, Esophagus, Breast (kind of breast cancer that does no have any receptor commonly found in breast cancer) and Liver Cancer
    Tumore della cervice, Tumore dell'endometrio Tumore della testa e del collo, Tumore dotto biliare, Tumore dell'esofago, Tumore della mammella triplo negativo, tumore del fegato
    E.1.1.2Therapeutic area Diseases [C] - Cancer [C04]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 21.1
    E.1.2Level LLT
    E.1.2Classification code 10065252
    E.1.2Term Solid tumor
    E.1.2System Organ Class 100000004864
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    1. To compare MK-7684A to pembrolizumab alone with respect to objective response rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 as assessed by blinded independent central review
    (BICR) in participants with cervical cancer whose tumors express programmed cell death 1 ligand 1 (PD-L1) [combined positive score (CPS) =1)] enrolled in Cohort A1.
    2. To compare MK-7684A to pembrolizumab alone with respect to progression-free survival (PFS) per RECIST 1.1 as assessed by BICR in participants with cervical cancer whose tumors express PD-L1 (CPS =1)
    enrolled in Cohort A1.
    3. To evaluate MK-7684A alone or in combination with other anticancer therapies with respect to ORR per RECIST 1.1 as assessed by the investigator in participants with selected solid tumors, excluding those
    with cervical cancer whose tumors express PD-L1 (CPS =1) enrolled in Cohort A1.
    1. Obiettivo: confrontare MK-7684A con pembrolizumab in monoterapia in termini di ORR secondo i criteri RECIST 1.1, come valutato mediante BICR in partecipanti con cancro della cervice i cui tumori esprimono PD-L1 (CPS =1), arruolate nella Coorte A1.
    2. Obiettivo: confrontare MK-7684A con pembrolizumab in monoterapia in termini di PFS secondo i criteri RECIST 1.1, come valutato mediante BICR in partecipanti con cancro della cervice i cui tumori esprimono PD-L1 (CPS =1), arruolate nella Coorte A1.
    3. Obiettivo: valutare MK-7684A in monoterapia o in associazione con altre terapie antitumorali in termini di ORR secondo i criteri RECIST 1.1, come valutato dallo sperimentatore in partecipanti con determinati tumori solidi, escluse le pazienti con cancro della cervice i cui tumori esprimono PD-L1 (CPS =1), arruolate nella Coorte A1.
    E.2.2Secondary objectives of the trial
    1. To evaluate MK-7684A alone or with other anticancer therapies for overall survival (OS).
    2. To evaluate MK-7684A alone or with other anticancer therapies for PFS per RECIST 1.1 as assessed by investigator in participants with selected solid tumors except those enrolled in Cohort A1.
    3. To evaluate MK-7684A alone for duration of response (DOR) per RECIST 1.1 as assessed by BICR in participants enrolled in Cohort A1.
    4. To evaluate MK-7684A alone or with other anticancer therapies for DOR per RECIST 1.1 as assessed by investigator in participants with selected solid tumors, except those enrolled in Cohort A1.
    5. To evaluate change from baseline in health-related quality-of-life (HRQoL) using the European Organisation for Research and Treatment of Cancer (EORTC) Quality-of-life questionnaire core 30 (QLQ-C30) in
    participants enrolled in Cohort A1.
    6. To evaluate the safety and tolerability of MK-7684A alone or with other anticancer therapies.
    1. Obiettivo: valutare MK-7684A in monoterapia o in associazione con altre terapie antitumorali in termini di OS in partecipanti con determinati tumori solidi
    2. Obiettivo: valutare MK-7684A in monoterapia o in associazione con altre terapie antitumorali in termini di PFS secondo i criteri RECIST 1.1, come valutato dallo sperimentatore in partecipanti con determinati tumori solidi, escluse le pazienti con cancro della cervice i cui tumori esprimono PD-L1 (CPS =1), arruolate nella Coorte A1.
    3. Obiettivo: valutare MK-7684A in monoterapia o in associazione con altre terapie antitumorali in termini di DOR secondo i criteri RECIST 1.1, come valutato mediante BICR in partecipanti con cancro della cervice i cui tumori esprimono PD-L1 (CPS =1), arruolate nella Coorte A1.

    Per ulteriori obiettivi secondari si prega di consultare il protocollo.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    A participant will be eligible for inclusion in the study if the participant:
    Has histologically- or cytologically-confirmed, advanced (locally recurrent unresectable or metastatic) solid tumor as follows:
    1. Cohort A: squamous cell carcinoma, adenosquamous carcinoma, or adenocarcinoma of the cervix which has progressed on standard of care chemotherapy with or without radiation but must not have been treated
    with prior anti-PD-1/PD L1 therapy. Chemotherapy given with radiation therapy will not be considered a first-line therapy.
    - Cohort A1: participants whose tumors are PD-L1 positive (CPS =1) as determined by the central laboratory
    - Cohort A2: participants whose tumors are PD-L1 negative (CPS <1) as determined by the central laboratory
    2. Cohort B: endometrial cancer that has progressed after 1 prior systemic, platinum-based chemotherapy regimen for endometrial cancer but must not have been treated with prior anti-PD-1/ PD L1 therapy.
    Participants may have received up to 2 lines of platinum-based chemotherapy if 1 was given in the neoadjuvant or adjuvant treatment setting.
    - Cohort B1: participants with endometrial cancer whose tumors are dMMR as determined by the central laboratory
    - Cohort B2: participants with endometrial cancer whose tumors are pMMR as determined by the central laboratory
    3. Cohort C: HNSCC that is considered incurable by local therapies and whose tumors express PD-L1 (CPS =1) as determined by the local laboratory using the PD-L1 IHC 22C3 pharmDx assay.
    Note: participants may not have a primary tumor site of nasopharynx (any histology)
    4. Cohort D: unresectable biliary adenocarcinoma (gallbladder or biliary tree [intrahepatic or extrahepatic] cholangiocarcinoma) that has progressed after 1 prior systemic therapy but must not have been treated with prior anti-PD-1/ PD L1 therapy.
    5. Cohort E: adenocarcinoma or squamous cell carcinoma of the esophagus or advanced/metastatic Siewert type 1 adenocarcinoma of the GEJ (defined as adenocarcinomas of the lower esophagus with the center located within 1 cm to 5 cm above the anatomic GEJ) that is unresectable and has not been previously treated with systemic therapy, including anti-PD-1/ PD L1 therapy, administered in the recurrent or metastatic setting.
    6. Cohort F: locally confirmed TNBC, as defined by the most recent ASCO/CAP guidelines, that is either locally recurrent unresectable not previously treated with chemotherapy and that cannot be treated with curative intent or metastatic that has not been previously treated with chemotherapy.
    7. Cohort G: HCC with any of the following criteria:
    Radiologically, histologically, or cytologically-confirmed diagnosis of HCC, excluding fibrolamellar, sarcomatoid or mixed cholangio-HCC tumors that has not been previously treated with systemic therapy, including anti-PD-1/PD L1 therapy. Radiographic confirmation of the diagnosis must be confirmed by the study site.
    8. Has measurable disease per RECIST 1.1 as assessed by the BICR (Cohort A1 only) or local site investigator/radiology (all other cohorts). measurable if progression has been demonstrated in such lesions.
    Note: For Cohort A1, BICR must confirm the presence of radiologically measurable disease based on RECIST 1.1 for the participant to be eligible for the study.
    9. Can provide a newly obtained core or excisional biopsy of a tumor lesion or either an archival FFPE tumor tissue block or slides for determination of biomarker status (eg, PD L1, MMR, ER, PgR, BRCA, and HER2/neu). A newly obtained biopsy is preferred, but not required if archival tissue is available for analysis.
    10. Has an ECOG performance status of either 0 or 1, as assessed within 7 days before starting study intervention.
    11. Has a predicted life expectancy of at least 3 months.

    For more inclusion criteria please see the protocol.
    Un partecipante sarà idoneo all'inclusione nello studio se:
    Presenta un tumore solido confermato istologicamente o citologicamente, in fase avanzata (localmente recidivante, non resecabile o metastatico) come segue:
    1. Coorte A: carcinoma a cellule squamose, carcinoma adenosquamoso o adenocarcinoma della cervice che è progredito con la chemioterapia standard con o senza radioterapia ma che non deve essere stato trattato con una precedente terapia anti-PD-1/PD-L1.
    Coorte A1: partecipanti con tumori PD-L1 positivi (CPS =1) come determinato dal laboratorio centrale.
    Coorte A2: partecipanti con tumori PD-L1 negativi (CPS <1) come determinato dal laboratorio centrale.
    Nota: saranno idonei anche i partecipanti che non sono idonei a ricevere il trattamento standard o che si sono ritirati dal trattamento standard a causa di tossicità inaccettabile che giustifica l'interruzione di tale trattamento e che preclude il ritrattamento con lo stesso agente prima della progressione di malattia.
    Nota: una precedente terapia neoadiuvante o coadiuvante inclusa nel trattamento iniziale non può essere considerata un trattamento SOC di prima linea o di linea successiva, a meno che tali trattamenti non siano stati completati meno di 6 mesi prima dell’attuale recidiva del tumore. La chemioterapia somministrata con radioterapia non sarà considerata una terapia 1L, indipendentemente dall’intervallo tra il trattamento e la recidiva.
    2. Coorte B: cancro endometriale che è progredito dopo 1 precedente regime chemioterapico sistemico a base di platino per cancro endometriale, ma che non deve essere stato trattato con una precedente terapia anti-PD-1/PD-L1. I partecipanti possono aver ricevuto fino a 2 linee di chemioterapia a base di platino se 1 è stata somministrata nel setting di trattamento neoadiuvante o coadiuvante.
    Nota: non vi è alcuna restrizione riguardo a una precedente terapia ormonale.
    Coorte B1: partecipanti con cancro endometriale i cui tumori sono dMMR come determinato dal laboratorio centrale
    Coorte B2: partecipanti con cancro endometriale i cui tumori sono pMMR come determinato dal laboratorio centrale
    3. Coorte C: HNSCC considerato incurabile dalle terapie locali dove il tumore esprime PD-L1 (CPS =1) come determinato dal laboratorio locale utilizzando il dosaggio PD-L1 IHC 22C3 PharmDx.
    Nota: i partecipanti non devono aver ricevuto una precedente terapia sistemica, inclusa la terapia anti-PD-1/PD-L1, somministrata nel setting ricorrente o metastatico. È consentita una terapia sistemica completata più di 6 mesi prima della firma del consenso se somministrata come parte di un trattamento multimodale per malattia localmente avanzata.
    Nota: è consentito un precedente trattamento (neo)adiuvante, a condizione che sia stato completato almeno 6 mesi prima della diagnosi di malattia avanzata.
    Nota: le sedi idonee del tumore primario sono orofaringe, cavità orale, ipofaringe e laringe.
    Nota: i partecipanti possono non avere una sede primaria del tumore nel rinofaringe (qualsiasi istologia).
    4. Coorte D: adenocarcinoma biliare non resecabile (colangiocarcinoma della colecisti o dell’albero biliare [intraepatico o extraepatico]) che è progredito dopo 1 precedente terapia sistemica ma che non deve essere stato trattato con precedente terapia anti-PD-1/PD-L1.
    Nota: i partecipanti con HCC/colangiocarcinoma misto possono essere inclusi.
    Nota: i partecipanti con tumori dell'ampulla di Vater non sono idonei.
    Nota: pazienti con carcinoma a piccole cellule, tumori neuroendocrini, linfoma, sarcoma, istologia mista del tumore e/o neoplasie cistiche mucinose non sono idonei.
    Nota: i partecipanti possono aver ricevuto una precedente terapia neoadiuvante o coadiuvante in considerazione di quanto segue:

    Per ulteriori criteri di inclusione si prega di consultare il protocollo.
    E.4Principal exclusion criteria
    The participant must be excluded from the study if the participant:
    1. Has a history of a second malignancy, unless potentially curative treatment has been completed with no evidence of malignancy for 3 years
    Note: The time requirement does not apply to participants who underwent successful definitive resection of basal cell carcinoma of the skin, squamous cell carcinoma of the skin, in-situ cervical cancer, or other in-situ cancers
    2. Has received prior therapy with an anti-PD-1, anti-PD-L1, anti-PD-L2, or anti-TIGIT agent
    3. Has received prior systemic anticancer therapy including investigational agents within 4 weeks before randomization/allocation
    Note: Participants must have recovered from all AEs due to previous therapies to =Grade 1 or baseline. Participants with =Grade 2 neuropathy may be eligible. Participants with endocrine-related AEs Grade =2 requiring treatment or hormone replacement may be eligible. Participants with Grade =2 alopecia are eligible
    4. Is currently participating in or has participated in a study of an investigational agent or has used an investigational device within 4 weeks before the first dose of study intervention
    Note: Participants who have entered the follow-up phase of an investigational study may participate if it has been 4 weeks after the last dose of the previous investigational agent
    5. Has known active CNS metastases and/or carcinomatous meningitis. Participants with previously treated brain metastases may participate provided they are radiologically stable, (ie, without evidence of progression) for at least 4 weeks by repeat imaging (Note: The repeat imaging should be performed during study screening.), clinically stable, and without requirement of steroid treatment for at least 14 days before
    the first dose of study intervention
    Note: Participants with known untreated, asymptomatic brain metastases (ie, no neurological symptoms, no requirement for corticosteroids, no or minimal surrounding edema, and no lesion >1.5 cm) may participate but will require regular imaging of the brain as a site of disease
    6. Known severe hypersensitivity (=Grade 3) to MK-7684A, pembrolizumab (Cohort A1 only), lenvatinib (Cohort B2 and Cohort G only), paclitaxel (Cohort F only), or 5-FU and cisplatin (Cohort E only) and/or any of their excipients.
    7. Has an active autoimmune disease requiring systemic treatment in past 2 years (ie, with use of disease modifying agents, corticosteroids or immunosuppressive drugs). Replacement therapy (eg, thyroxine, insulin,
    or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency) is allowed
    8. Has a history of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease
    For participants who will receive lenvatinib in either Cohort B2 or Cohort G:
    9. Has received previous treatment with lenvatinib
    Note: Prior therapy with other kinase inhibitors that target VEGF are not exclusionary
    10. Has had major surgery within 3 weeks before first dose of study interventions
    Note: Adequate wound healing after major surgery must be assessed clinically, independent of time elapsed for eligibility
    11. Has preexisting =Grade 3 gastrointestinal or non-gastrointestinal fistula
    12. Has urine protein =1 g/24 hours
    Note: Participants with proteinuria =2+ (=100 mg/dL) on urine dipstick testing (urinalysis) will undergo 24-hour urine collection for quantitative assessment of proteinuria
    13. Has a LVEF below the institutional (or local laboratory) normal range, as determined by MUGA or ECHO
    14. Has radiographic evidence of encasement or invasion of a major blood vessel, or of intratumoral cavitation
    NOTE: The degree of proximity to major blood vessels should be considered because of the potential risk of severe hemorrhage associated with tumor shrinkage/necrosis after lenvatinib therapy

    For more exclusion criteria please see the protocol.
    Il partecipante deve essere escluso dallo studio se:

    1. Ha una storia di un secondo tumore maligno, a meno che il trattamento potenzialmente curativo non sia stato completato senza evidenza di tumore maligno per 3 anni.
    Nota: il tempo richiesto non si applica a partecipanti sottoposti a resezione definitiva riuscita del carcinoma basocellulare della pelle, del carcinoma a cellule squamose della pelle, del cancro cervicale in situ o altri cancri in situ.
    2. Partecipanti con infezione da HIV con un’anamnesi di sarcoma di Kaposi e/o malattia di Castleman multicentrica.
    Terapia precedente/concomitante
    3. Ha ricevuto una precedente terapia con un agente anti-PD-1, anti-PD-L1, anti-PD-L2 o anti-TIGIT.
    4. Ha ricevuto una precedente terapia antitumorale sistemica comprendente agenti sperimentali nelle 4 settimane precedenti la randomizzazione/allocazione.
    Nota: i partecipanti devono essersi ristabiliti da tutti gli eventi avversi (AE) dovuti alle terapie precedenti fino al grado = 1 o al basale. I partecipanti con neuropatia di grado =2 o inferiore possono essere idonei. I partecipanti con AE endocrini di grado =2 che necessitano di un trattamento o di sostituzione ormonale possono essere idonei. I partecipanti con alopecia di grado =2 sono idonei.
    Nota: se il partecipante ha subito un'operazione importante, deve essersi ripreso adeguatamente dalla procedura e/o da qualsiasi complicanza dell'operazione prima di iniziare il trattamento dello studio.
    5. Ricezione di precedente radioterapia nelle 2 settimane prima dell'inizio del trattamento dello studio. I partecipanti devono essersi ristabiliti da tutte le tossicità correlate alle radiazioni, non aver bisogno di corticosteroidi e non aver avuto polmonite da radiazioni. È consentito un washout di 1 settimana per la radioterapia palliativa (=2 settimane di radioterapia) per la malattia non a livello del SNC.
    6. Ha ricevuto un vaccino vivo o vivo attenuato nei 30 giorni precedenti la prima dose del trattamento dello studio. È consentita la somministrazione di vaccini inattivati.
    Esperienza di studio clinico precedente/concomitante
    7. Sta attualmente partecipando o ha partecipato a uno studio con un agente sperimentale oppure ha utilizzato un dispositivo sperimentale nelle 4 settimane precedenti la prima dose del trattamento dello studio.
    Nota: i partecipanti che sono entrati nella fase di follow-up di uno studio sperimentale possono partecipare purché siano trascorse 4 settimane dall'ultima dose dell'agente sperimentale precedente.
    Valutazioni diagnostiche
    8. Ha una diagnosi di immunodeficienza o è in trattamento con una terapia steroidea sistemica cronica (in dosi superiori a 10 mg al giorno di prednisone equivalente) o qualsiasi altra forma di terapia immunosoppressiva nei 7 giorni precedenti la prima dose del farmaco dello studio.

    Per ulteriori criteri di esclusione si prega di consultare il protocollo.
    E.5 End points
    E.5.1Primary end point(s)
    1. Objective Response Rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 as Assessed by Blinded Independent Central Review (BICR).
    2. Progression-Free Survival (PFS) per RECIST 1.1 as Assessed by BICR.
    3. ORR per RECIST 1.1 as Assessed by Investigator.
    1. Tasso di risposta obiettiva (ORR) per criteri di valutazione della risposta nei tumori solidi (RECIST) 1.1, valutato mediante Blinded Independent Central
    Review (BICR)
    2. Sopravvivenza libera da progressione (PFS) secondo RECIST 1.1, valutato da BICR
    3. ORR per RECIST 1.1 valutato dallo sperimentatore
    E.5.1.1Timepoint(s) of evaluation of this end point
    1. Up to approximately 36 months.
    2. Up to approximately 36 months.
    3. Up to approximately 36 months.
    1. Fino a circa 36 mesi.
    2. Fino a circa 36 mesi.
    3. Fino a circa 36 mesi.
    E.5.2Secondary end point(s)
    1. Overall Survival (OS).
    2. PFS per RECIST 1.1 as Assessed by Investigator.
    3. Duration of Response (DOR) per RECIST 1.1 as Assessed by BICR.
    4. DOR per RECIST 1.1 as Assessed by Investigator.
    5. Change from Baseline in Global Health Status/Quality of Life Score (European Organisation for Research and Treatment of Cancer Qualityof-Life Questionnaire Core 30 [EORTC QLQ-C30] Items 29 and 30).
    6. Change from Baseline in Physical Functioning Score (EORTC QLQ-C30 Items 1-5).
    7. Number of Participants Who Experienced One or More Adverse Events (AEs).
    8. Number of Participants Who Discontinued Study Intervention Due to an AE.
    1. Sopravvivenza complessiva (OS).
    2. PFS secondo RECIST 1.1 , valutato dallo sperimentatore.
    3. Durata della Risposta (DOR) secondo RECIST 1.1, valutata da BICR
    4. DOR secondo RECIST 1.1 valutato dall'investigatore.
    5. Variazione rispetto al basale del punteggio relativo allo stato di salute globale/qualità della vita
    (Questionario Core 30 dell'Organizzazione europea per la ricerca e il trattamento del cancro sulla qualità della vita [EORTC QLQ-C30] Items 29 and 30).
    6. Variazione dalla linea di base nel punteggio di funzionamento fisico (EORTC QLQ-C30 Items 1-5).
    7. Numero di partecipanti che hanno subito uno o più eventi avversi
    (EA).
    8. Numero di partecipanti che hanno interrotto il farmaco sperimentale a causa di un EA.
    E.5.2.1Timepoint(s) of evaluation of this end point
    1. Up to approximately 36 months.
    2. Up to approximately 36 months.
    3. Up to approximately 36 months.
    4. Up to approximately 36 months.
    5. Baseline and up to approximately 36 months.
    6. Baseline and up to approximately 36 months.
    7. Up to approximately 36 months.
    8. Up to approximately 35 months.
    1. Fino a circa 36 mesi.
    2. Fino a circa 36 mesi.
    3. Fino a circa 36 mesi.
    4. Fino a circa 36 mesi.
    5. Basale e fino a circa 36 mesi.
    6. Basale e fino a circa 36 mesi.
    7. Fino a circa 36 mesi.
    8. Fino a circa 35 mesi.
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy Yes
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic Yes
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others Yes
    E.6.13.1Other scope of the trial description
    Exploratory biomarker analysis
    Analisi di biomarker esploratori
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) Yes
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open Yes
    E.8.1.3Single blind No
    E.8.1.4Double blind No
    E.8.1.5Parallel group Yes
    E.8.1.6Cross over No
    E.8.1.7Other Yes
    E.8.1.7.1Other trial design description
    Studio Basket
    Basket Study
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) Yes
    E.8.2.2Placebo No
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial6
    E.8.3 The trial involves single site in the Member State concerned No
    E.8.4 The trial involves multiple sites in the Member State concerned Yes
    E.8.4.1Number of sites anticipated in Member State concerned3
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA22
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA Information not present in EudraCT
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    Canada
    Chile
    Colombia
    Israel
    Japan
    Korea, Republic of
    Taiwan
    Turkey
    United States
    France
    Germany
    Italy
    Netherlands
    Poland
    Spain
    E.8.7Trial has a data monitoring committee Yes
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    LVLS
    LVLS
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years3
    E.8.9.1In the Member State concerned months0
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years3
    E.8.9.2In all countries concerned by the trial months0
    E.8.9.2In all countries concerned by the trial days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 192
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 288
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state15
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 144
    F.4.2.2In the whole clinical trial 480
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    None
    Nessuno
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2021-08-23
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2021-06-30
    P. End of Trial
    P.End of Trial StatusOngoing
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